人免疫球蛋白辅助治疗小儿重症肺炎效果探讨.docVIP

人免疫球蛋白辅助治疗小儿重症肺炎的效果探讨 　　[摘要] 目的 探讨人免疫球蛋白辅助治疗小儿重症肺炎的临床效果。 方法 选取本院2013年6月～2014年11月收治的80例小儿重症肺炎患者作为研究对象，随机分成观察组和对照组，各40例。对照组采用常规治疗，包括抗生素治疗、抗病毒治疗、吸氧以及纠正患者心力衰竭等。观察组在对照组的基础上给予人免疫球蛋白辅助治疗，比较两组的治疗效果。 结果 观察组的治疗总有效率显著高于对照组，差异有统计学意义（P0.05）。观察组患者的退热时间、咳嗽消失时间、??音消失时间、X线胸片检查炎症吸收时间以及总住院时间显著短于对照组，差异有统计学意义（P0.05）。观察组治疗后的IgG水平显著低于对照组，差异有统计学意义（P0.05）。 结论 人免疫球蛋白辅助治疗小儿重症肺炎效果显著，能够有效缩短退热时间、咳嗽消失时间、??音消失时间、X线胸片检查炎症吸收时间以及总住院时间，降低患者血清中的IgG水平，值得临床推广应用。 　　[关键词] 人免疫球蛋白；小儿重症肺炎；临床疗效 　　[中图分类号] R725.6 [文献标识码] A [文章编号] 1674-4721（2015）09（b）-0070-03 　　Effect exploration of human immunoglobulin as an adjuvant therapy in the treatment of pediatric severe pneumonia 　　LU Mei-hua 　　Department of Pediatrics，Traditional Chinese Medicine Hospital of Changshu City in Jiangsu Province，Changshu 215500，China 　　[Abstract] Objective To explore the clinical efficacy of human immunoglobulin as an adjuvant therapy in the treatment of pediatric severe peumonia. Methods 80 children with severe pneumonia from June 2013 to November 2014 in our hospital were selected and randomly divided into the control group and the observation group，40 cases in each group.The control group was treated with conventional treatment including antibiotics，anti-virus，oxygen inhalation and heart failure correcting，the observation group was given human immunoglobulin as an adjuvant therapy on the basis of control group.The therapeutic effect in two groups was compared. Results The total effective rate in the observation group was higher than that in the control group，with significant difference （P0.05）.The time of fever subsidence，cough disappeared time，rales disappear time，X-ray examination inflammation absorption time and the total hospitalization time in the observation group was shorter than that in the control group，with significant difference （P0.05）.The level of serum IgG after treatment in the observation group was lower than that in the control group，with significant difference （P0.05）. Conclusion The effect of human immunoglobul